Date

Corporate Visa Program

U.S. Consulate Shanghai, Consular Section

Westgate Mall, 8th Floor

1038 West Nanjing Road

Shanghai 200041

Dear AmCham Liaison Officer:

(Your Company) is a member of AmCham Shanghai.I am now the Corporate Visa Program Signatory responsible for referring direct hire employees to the United States. I have informed AmCham Shanghai that I am the CVP Signatory. I have also enclosed a copy of my passport, the certification form and the designated courier certification form.

My contact information is: (Your Company’s Address, Phone and extension, Fax Number, Mobile Number, your email address, and company website).

(Your Company)’s back-up signatories for the Corporate Visa Program are (Name, position title, Phone and extension, Fax Number, Mobile Number, and your email address) and (Name, position title, Phone and extension, Fax Number, Mobile Number, and your email address)

We have reviewed and fully understand the purpose, procedures and rules of the Program. We acknowledge the enclosed certification form.

We appoint the following person(s) in the Company-designated Courier Certification Form to be courier(s) for the AmCham Shanghai Corporate Visa Program.

Please notify us at your earliest convenience to confirm that my company’s records have been updated.

Thank you,

CVP Signatory Signature

CVP Signatory Name

CVP Signatory Job Title

CVP back-up Signatory SignatureCVP back-up Signatory Signature

CVP back-up Signatory NameCVP back-up Signatory Name

CVP back-up Signatory Job TitleCVP back-up Signatory Job Title

AmCham Corporate Visa Program

CVP Signatory Certification Form (V.2012)

We hereby certify that we

  1. shall use the AmCham Shanghai Corporate Visa Program (CVP, or the “Program”) only for direct hire, non-commissioned employees of the Company to travel to the U.S. on Company business (and, in limited cases for immediate family members of direct hire employees, accompanying them on their business travel, in accordance with the Consulate’s policy on accompanying family members, effective from Aug. 2nd 2005; or, in limited cases, with approval from the Consulate, for close business contacts traveling with direct-hire employees, in accordance with the rules of the Special Travel Expedite Program, effective from Feb.1st , 2006) ;
  1. shall timely inform or cause the Company to timely inform the American Consulate General Shanghai (the “Consulate”) and the American Chamber of Commerce in Shanghai of any changes in personnel, program, policy or any other events or changes that directly affects the Company’s participation in the Program;
  1. shall fully and timely comply and shall cause the Company to fully and timely comply with any and all reasonable requests for information from the Consulate with regard to any inquiries the Consulate may make concerning the continuing accuracy and completeness of the Program application materials submitted by the Company;
  1. shall willingly participate in any fraud investigations conducted by the Consulate in connection with the Program and shall supply or cause the Company to supply any and all information to the Consulate that the Consulate shall reasonably deem necessary or helpful with regard to such investigations; and
  1. shall exclusively authorize visa referrals submitted to the Consulate pursuant to the Corporate Visa Program (“CVP”) and that no other person will otherwise authorize visa referrals on my behalf.

We further certify that

  1. We have reviewed and fully understand the purpose, procedures and rules of the Program. We acknowledge that any inaccuracy or misrepresentation contained in any visa referral, whether intentional or otherwise, that gives the Consulate reasonable cause to doubt our or the Company’s adherence to the rules, policies, and procedures of the Program shall result in a suspension from the program. The initial period of suspension shall be six months or such period of time as determined by the Consulate in its sole discretion. Such inaccuracies and misrepresentations may include, but are not limited to, those concerning:
  1. the length of stay of the visa applicant;
  2. the nature of the visa applicant’s activities;
  3. the nature of any technology relevant to the applicant’s activities;
  4. the relationship of the visa applicant to the Company;
  1. We understand that we may be held personally culpable for any intentional misuse or abuse of the Program, regardless of whether such misuse or abuse is perpetrated by ourselves or by another of whom we should reasonably be aware. Should an investigation by the Consulate conclude that any such intentional misuse or abuse has occurred, we are aware that our company may be permanently suspended from participation in the Program at the sole discretion of the Consulate and that we and/or the Company may face legal action. We further state that we shall not accept financial or other remuneration from visa applicants or any third party on behalf of visa applicants in connection with or resulting from the preparation or submission of visa referrals.
  1. We understand that the CVP Back-up Signatory has authority only to sign for applications at any time the primary signatory is not available.

Company Designated Courier Certification Form

(JP – 4)

Primary Company-designated Courier:

Name
ID Number
Mobile
E-mail

□Photocopy of couriers’ identification card attached.

Back-up Company-designated Courier (maximum of two (2) names):

Name
ID Number
Mobile
E-mail

□Photocopy of couriers’ identification card attached.

Name
ID Number
Mobile
E-mail

□Photocopy of couriers’ identification card attached.